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Rheumatoid Arthritis
Written by Dr. Kundan kharyal

Aamvata/Rheumatoid Arthritis

Definition
Rheumatoid Arthritis (RA) is a chronic multi system disease of unknown cause, characterized by persistant inflammatory synovitis usually involving peripheral joints in a symmetric distribution.
Features
i. Peak incidence is in 3rd and 4th decade of life.
ii. 3-5 times higher preponderance in females.
iii. Familial aggregation.
iv. Onset is insidious, beginning with prodrome of fatigue, weakness, joint stiffness.
v. Vague arthralgia (joint pain) myalgia (muscle pain)
vi. Pain and swelling of joints usually in Hands, wrists and feet.
vii. 20% cases show rheumatoid nodule over extensor surface of elbow and fingers.
viii. Morning stiffness greater than 1hr.
In Ayurveda aamvata has been described to be caused due to Mandagni. i.e. reduced digestive powder.
Variants
1. 1.Juvenile RA- Fond in adolescent patients under 16 yrs age characterized by acute onset of fever and predominant involvement of knee and ankles. RF is rarely present.
2. Felty’s syndrome-Consists of Polyarticular RA associated with splenomegaly and hypersplensim and consequent haematological derangement.
3. Ankylosing spondylitis or Rheumatoid spondylitis is rheumatoid involvement of spine, particularly sacroiliac joint in young males. The condition has a strong HLA-B27 associated and may have associated inflammatory diseases such as inflammatory bowel disease, anterior Uveitis.
Pathya (follow Regimen)
i. Karela,
ii. Neem,
iii. Purana chawal,
iv. Matar and chana soup,
v. Bringle,
vi. Bathua,
vii. Wheat,
viii. Ruksha swed (Baaluka swead)
ix. Panchkol (Pipli,piplimool, chavya, Chitraka, Shunthi).
Apathya (Abstrain)
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i. Curd,
ii. Fish,
iii. Gur,
iv. Buffalomilk,
v. Urad daal,
vi. Cold wind,
vii. Supression of natural urges,
viii. Raatri Jaagran.
ix. Aquatic and Para aquatic flesh.

Management

A) Shodhan treatment
i. Snehan
ii. Ruksha swedan
iii. Vaman
iv. Virechan
v. Vasti

B) Shaman treatment
1. Singh naad Guggulu = 500mg
Aamvatari Ras = 250mg
Godanti Bhasma = 500 mg
1× 3 maatra

 2. Vish Tinduk Vati = 2 tab × 3 times

3. Shunthi Churna = ½ gm
   Ajmodadi Churanum = 1 gm

4. Erandpaka = 2 Spoon × 2 times
OR
    Erand Tailum = 2 Spoon × with milk at night

5. Mahavish garbha tail = Local application then Baaluka Sweda

Rasa Aushadhis 
Brihat Vaat Chintamani rasa
Vaat Kulantak Rasa
Vaat Vidhwanskar Rasa
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